Individual ProviderKimberly Sue GutierrezNaturopathOther Service ProvidersPractice Address505 NW 9th Ave, Portland, OR 97209-3578(503) 422-6913PECOS EnrollmentBased on the most recent information from CMS, provider Kimberly Sue Gutierrez does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1184936262Provider TypeIndividualFull NameGutierrez, Kimberly SueTitleDr.CredentialRPH., N.DGenderFemaleSole ProprietorNoEnumeration Date7/6/2010Last Updated3/16/2017Contact InformationPractice LocationPractice Address505 NW 9th Ave, Portland, OR 97209-3578Phone(503) 422-6913Fax(888) 511-7659Mailing LocationMailing Address505 NW 9th Ave, Portland, OR 97209-3578Phone(503) 422-6913Fax(888) 511-7659Provider TaxonomiesCodeDescriptionLicenseCode175F00000XPrimaryDescriptionNaturopathOther Service ProvidersLicense3003OregonCode183500000XDescriptionPharmacistPharmacy Service ProvidersLicenseRPH-0010622OregonCode1835P0018XDescriptionPharmacistPharmacy Service ProvidersLicenseRPH0010622Oregon